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提上睑肌腱膜折叠术治疗轻中度上睑下垂临床观察 被引量:11

Clinical observation on treatment semiptosis of upper eyelid by pleating of levator palpebrae superioris
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摘要 目的探讨提上睑肌折叠术治疗轻中度上睑下垂的疗效。设计回顾性病例系列。研究对象30例(43眼)提上睑肌肌力达8mm以上的轻、中度上睑下垂患者。方法采用经皮肤入路的提上睑肌折叠术,无需分离提上睑肌,观察手术前后上睑睑缘位置的变化。主要指标第一眼位上睑睑缘位置。结果术后随访6个月~2年,平均13.1个月。30例(43眼)患者第一眼位上睑睑缘位于正常位置,3例(3眼)欠矫,1例(1眼)过矫,术后效果满意。结论提上睑肌腱膜折叠术适合于轻中度上睑下垂患者。 Objective To discuss the clinical curative effect of pleating of levator palpebrae superioris in treating semiptosis. Design Retrospective case series. Participants Forty-three eyes from 30 patients with semiptosis of upper eyelid. Methods By using pleating of levator palpehrae superioris through the skin, isolating the levator muscle was skipped in rectification. Position of upper eyelid-margin before and after operation was observed. Main Outcome Measures The position change of upper eyelid-margin in the first position of eye in 3-6 months after surgery. Results The mean follow-up period was 13.1 months (6 months to 2 years), 26 cases (39 eyes) got cured with normal eyelid-margin position, 3 patients were below rectification and 1 patient over-rectification. Conclusion Pleating of levator palpebrae superioris is suitable for the treatment of semintosis of under evelid. ,( Ophthalmol CHN,2010,19: 116-118)
出处 《眼科》 CAS 2010年第2期116-118,共3页 Ophthalmology in China
关键词 上睑下垂/外科学 提上睑肌折叠术 semiptosis of upper eyelid/surgery pleating of levator palpebrae superioris
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